Provider Demographics
NPI:1134605934
Name:BOERSMA, RACHEL REGAN (PHD, RN)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:REGAN
Last Name:BOERSMA
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LOWELL RD UNIT 1454
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-5074
Mailing Address - Country:US
Mailing Address - Phone:978-732-8789
Mailing Address - Fax:
Practice Address - Street 1:117 NASHUA RD
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1457
Practice Address - Country:US
Practice Address - Phone:978-732-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA140091163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health